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Sharps-Related Injuries in California Healthcare Facilities: Pilot Study Results From the Sharps Injury Surveillance Registry

Published online by Cambridge University Press:  02 January 2015

Marion Gillen*
Affiliation:
School of Nursing, University of California, San Francisco
Jennifer McNary
Affiliation:
School of Nursing, University of California, San Francisco
Julieann Lewis
Affiliation:
School of Nursing, University of California, San Francisco
Martha Davis
Affiliation:
School of Nursing, University of California, San Francisco
Alisa Boyd
Affiliation:
School of Nursing, University of California, San Francisco
Mary Schuller
Affiliation:
School of Nursing, University of California, San Francisco
Chris Curran
Affiliation:
School of Nursing, University of California, San Francisco
Carol A. Young
Affiliation:
School of Nursing, University of California, San Francisco
James Cone
Affiliation:
Occupational Health Branch, California Department of Health Services, Oakland, California
*
UCSF School of Nursing, Department of Community Health Systems, Box 0608, San Francisco, CA 94143-0608

Abstract

Background and Objectives:

In 1998, the California Department of Health Services invited all healthcare facilities in California (n = 2,532) to participate in a statewide, voluntary sharps injury surveillance project The objectives were to determine whether a low-cost sharps registry could be established and maintained, and to evaluate the circumstances surrounding sharps injuries in California.

Results:

Approximately 450 facilities responded and reported a total of 1,940 sharps-related injuries from January 1998 through January 2000. Injuries occurred in a variety of healthcare workers (80 different job titles). Nurses sustained the highest number of injuries (n = 658). In hospital settings (n = 1,780), approximately 20% of the injuries were associated with drawing venous blood, injections, or assisting with a procedure such as suturing. As expected, injuries were caused by tasks conventionally related to specific job classifications. The overall results approximate those reported by the Centers for Disease Control and Prevention's National Surveillance System for Health Care Workers and the University of Virginia's Exposure Prevention Information Network.

Conclusion:

These data further support findings from previous studies documenting the complex and persistent nature of sharps-related injuries in healthcare workers. In the future, mandated reporting using standardized forms and consistent application of decision rules would facilitate a more thorough analysis of injury events.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2003

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